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Sacroiliac (SI) or what?


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#1 Okmum

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Posted 20 March 2012 - 07:39 PM

Hi!
Brief history - been back running for about 2 months after having second child 3.5 months ago. Didn't think I was over doing it as I was taking it slow and averaging 4-5 hrs a week.
Went for a big walk (with pram as always) 2 weeks ago and that night I had a dull ache in my right lower back. Tried running on Friday (with double pram) and it was sore but ok. Walked down a hill and that was it. Hobbled the whole way home. Could barely walk by the time I got home. Went to Osteo wasn't my usual, but by the next morning I was still sore but at least I could walk better. Went to my fav osteo a week ago and she said I was really twisted. I was sore (treatment wise) the next day but my back and now hip and anterior right leg are still so sore that it hurts to walk!!! I'm not sure now what the actual problem is, so hoping someone here can help AND offer your thoughts in best treatment (osteo, Physio, nature etc!).
It hurts to;
Walk and definitely cannot run
Lay on my back - find it really locks up after I do and basically have to crawl to my chair
Walk down hills
Roll over in bed
Do pelvic floor exercises
Extend my leg backwards
It doesn't hurt when I;
Sit,
Squat
Bend over to pick things up (unless I twist too much)
Ride a bike
I can 'feel' my leg when I get in the step machine or do under water running but I wouldn't say it hurts - and I can only feel the muscles in my leg, not my hip/ back.
I know I should rest but with 2 little ones it's hard not to walk!!  I would like to still be active during recovery and am thinking riding and under water swimming would be ok?
Your thoughts are much appreciated!!!

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#2 wozzam

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Posted 20 March 2012 - 08:10 PM

hi, i had SIJ dysfunction but i could sleep good and when i ran i had sharp pains in my glutes and a sore inner thigh and couldn't stand on my right foot without feeling sheer pain and almost falling over so i went to a chiropractor and he fixed me although it took months and no running for about 6 months but your symptoms sound to me like sciatic pain? but definately see an osteo or chiro asap.

#3 Okmum

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Posted 21 March 2012 - 02:22 AM

Thank you. I get sharp pains too, but down my buttocks, glutes and outer thigh. My massage therapist seems to think my SI joint is causing Siatic pain? And 6 months? Depression plus!!!!

#4 wozzam

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Posted 21 March 2012 - 05:12 AM

View PostOkmum, on 21 March 2012 - 02:22 AM, said:

Thank you. I get sharp pains too, but down my buttocks, glutes and outer thigh. My massage therapist seems to think my SI joint is causing Siatic pain? And 6 months? Depression plus!!!!
maybe not quite 6 months, i would do easy runs but i felt like from the waist up i was running twisted so i had to cycle more to keep some fitness but not running was really making me cranky and one of the tests i would do was the stork test and stand on my right leg and bend down good luck with it i feel for you.

#5 Okmum

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Posted 21 March 2012 - 06:53 AM

Thank you again. I guess giving it plenty of time to heal now will mean I get back sooner rather then trying to push through.

#6 bornagain

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Posted 21 March 2012 - 03:02 PM

I put up with a similar problem for years, low back pain, extra muscle tension in my right leg etc.
Curiously when I started using custom orthotics it marked the end of that period of my life, seemed that overpronating particularly on that side put pressure on my hips.
Funnily enough I now have discarded the orthotics to run more in barefeet etc (due to tendon problems), the extra strength has reduced my pronation.
However I dont think I could have done this when my back was an issues so maybe orthotics may help.
I have tried a wide spectrum of help (avoiding key words here so as not to attract attention from Naysayers) a key element was posture and stretching.
I may take awhile for pregrancy hormon effects to diminish (relaxes all those joints).

Good luck this can be frustrating
PS - riding a bike has been know to aggravate hip issues  particularly if seat height isnt right

#7 wozzam

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Posted 21 March 2012 - 03:22 PM

while working with my hip problem, if i walked on long lengths of timber on the affected side my hip wouldn't hurt or if i carried timber on my affected sides shoulder i felt no pain and when i quizzed the chiro he told me that i was squashing the nerves in the joint and not to do it so i'm not surprised that orthotics may help but that doesn't sound like an answer especially if you ran without them before any problems.

#8 walker1st

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Posted 21 March 2012 - 05:13 PM

View PostOkmum, on 20 March 2012 - 07:39 PM, said:

Hi! Brief history - been back running for about 2 months after having second child 3.5 months ago.  

I reckon the whole issue developed during pregnancy and maybe during delivery, the running later only exposed the issue.

There is lots of stuff which could be done, but is out of official medicine, so I will not discuss it publicly.
If you are open minded and willing to try faster and no risk approach, send me PM or mail.

#9 Okmum

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Posted 21 March 2012 - 08:29 PM

Thank you everyone!
Bornagain - yep already have custom orthotics for bad probation - my knees ache if I don't use them so I always do! Even wear orthotic things around the house! Didn't know that about the bike? I've promised myself that I will not do anything that hurts if I don't have to.
Walker1st - will be pming you :-)
Had another treatment session today and the guy said my SI joint was definitely locked up underneath. He really released it, but of course I got home with the kids and it's sore again, although not as bad - still knowing when I walk. Damn these injuries!!

Oh and walker1st - yes I do agree Pregnancy has a lot to do with it. I ran until 30weeks, then suffered pelvic pain for the last 8 weeks. I'm not feeling 'strong' either, so guessing all those muscles aren't supporting my hips like the use to.

#10 bornagain

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Posted 22 March 2012 - 11:34 AM

I think the issue with those joints is that if they become very mobile, in my case after football injury, yours likely childbirth (i recall oxytocin actually softens joints) , then is takes a long time to rebuild strength.
I actualy had some treatment once that changed the affected side fo a day or so!
I found swimming freestyle the kick action with no gravity helped, (but breastroke kick aggravated).
Dont sit for long or badly
Whatever you do - keep moving, I stopped and regretted it.
All very easy to say but hopefully only for a while in your case.

#11 Okmum

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Posted 22 March 2012 - 08:13 PM

Interesting Bornagain... I tried swimming the other day and it just hurt too much - but I didn't just kick, so might give that ago. I have also found that sitting actually makes it feel better?? It's laying down on my back that makes it worse.
I do agree though that it has probably stemmed from pregnancy, and perhaps my supporting muscles weren't strong enough to handle the running load... Guess I better start traing a bit smarter and looking after this body of mine a bit better!

#12 sportsphysio

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Posted 23 March 2012 - 08:43 PM

Okmum

Well done for getting back to running so soon after bubs.

SIJ problems are common during and after pregnancy but the SIJ will never refer pain above L5 (top of the pelvis), so if it's higher up your back, it may be from the lumbar spine +/- SIJ.
Also, the SIJ tends to be aggravated by single leg weight-bearing activities, so some of the activities that bother you don't quite fit the mould.

As for which type of therapist to see, my only recommendation would be to see a good one. It doesn't matter whether it's physio/chiro/osteo, it matters whether you're getting results. Set yourself a timeframe (eg. 4 visits or two weeks) and if you're not seeing results, get another opinion.


View Postwalker1st, on 21 March 2012 - 05:13 PM, said:

If you are open minded and willing to try faster and no risk approach, send me PM or mail.

Careful walker1st, while "open-minded" and even "faster" may describe your suggested alternative, "no risk" sounds misleading. Not suggesting that it's high risk, just that every approach has some inherent risk and many "alternative" therapies are considered alternative due to increased risk or low efficacy.

And before anyone starts yelling at me, I know I'm from the evil school of western medicine but there's enough research out there these days that if a miracle cure existed, it'd be up in lights by now.

#13 walker1st

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Posted 24 March 2012 - 07:35 PM

View Postsportsphysio, on 23 March 2012 - 08:43 PM, said:



And before anyone starts yelling at me, I know I'm from the evil school of western medicine but there's enough research out there these days that if a miracle cure existed, it'd be up in lights by now.

up in lights ? You have no idea what you have just said, how accurate exactly up in light

so Your believe system is telling you, that everything is a risk ?
say hello to rotschilds, who are rulling your type of medicine, they have few months left

#14 Okmum

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Posted 25 March 2012 - 05:23 AM

Sportsphysio - thanks for that. Pain is definitely low. Just curious as to what activities don't fit the mould? Always good to get other opinions. I have been back the osteo again and it feels much better, although it's still there and I guess I've got to accept it isn't going to be a speedy recovery. I will set myself a time frame for treatment though. Great advice.